Surrender Form

We understand that rehoming your dog is a very difficult decision and we will do all we can to make it easier for you. Fill out this form to the best of your ability. Your answers will help us get to know the animal in question, and will ensure that if we are able to place the dog in a foster home or a new home, that the home is adequate for the needs of the dog. Above all, please be honest - failure to be honest with us can cause multiple issues, from the dog being placed in an incorrect foster to the dog ending up being pts. We will do all we can to help, but cannot make any promises that information entered on this form will result in the dog being taken into our program.
Name: *
Address

Street Address

Street Address Line 2

City County

Postcode
Contact Number: *
Work Phone:
If you are contactable here
Email Address: *

Confirmation Email example@example.com
Pet's Name / Nicknames: *
Sex: Male Female Age: *

More Details about Your Dog

PLEASE BE VERY SPECIFIC WITH YOUR ANSWERS SO THAT WE CAN PROVIDE THE BEST CARE FOR AND FIND THE BEST SUITABLE HOME.
Where did you get your dog?
Is your dog spayed or neutered? Yes No
How long have you owned your dog?
Why are you surrendering your dog?
Is your dog destructive when left alone?
If yes, please explain:
Is your dog crate trained:
Is your dog house trained:
What cues does your dog know, if any?
Has your dog had any previous training:
If so, please detail;
Training Information

Does your dog have any behaviour issues?
If Yes, please give details:
Does your dog have any fears?
If Yes, please give details: eg groomed, nails trimmed, sounds, etc
Does your dog have food aggression?
Has your dog ever bitten anyone?
If yes, did it break skin? Yes No
If yes, did it break skin?
Was a bite report filed?
Was a bite report filed? Yes/ No
Please explain the bite incident:
Please list a few things you like best about your dog:
Why do you think your dog would be a good candidate for adoption?
Please add a recent image of your dog

Browse Files

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By signing this form, I state that I am the owner of the animal who is the subject of this Animal Surrender Form. To my knowledge, no other person has a right to this animal. I hereby surrender all rights to this animal. I understand that once I relinquish this animal, the animal will not be available to be returned. I have read and understand the terms of this Animal Surrender Form.
Signature - Please use your mouse or finger to sign in the box.

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More Details about Your Dog